Friday, April 27, 2012

Drug Intoxication

Cocaine: Euphoria, anorexia, pupillary dilatation, illusions , hypertension, tachcardia tmt:BZDP, antipsychotics, antihypertensives

Marijuana : confusion, slow response time, red eyes, increased appetite

TCA: seizures, arrythmias, wide QRS, anti cholinergic effects (dry mouth, constipation, urinary retention etc) tmt:protect the heart with NaCO3

Aspirin: hyperventilating, tinnitus, anion gap metabolic acidosis + resp alkalosis, tmt: Alkalinization of urine with NaCO3

Opiates: miosis (may be absent if other drugs r also present), drowsy,slurred speech, coma tmt:Naloxone

Benzodiazepines: drowsy, confused, blurred vision, agitated, coma, resp depression , hypotension tmt: Flumazenil

PCP: violence, nystagmus, seizure, agitation tmt:BZDP, antipsychotics

Beta blocker: coma, seizures, hypotension, bradycardia tmt: ABC, glucagon

Digoxin: GI symptoms- anorexia, nausea, vomitting, abdo cramps, yellow green distortion, drowsiness, dyspnea, bradycardia, hypotension tmt: Atropine then gastric lavage, correct electrolytes.

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